No Cookie Cutter Solutions
MCCRs, CPAC Directors, BIMs, and everyone else in the VHA all face common challenges in managing the revenue cycle. And yet the solutions to those challenges are often unique to each facility or group. Budgets, human resources, operational and administrative issues can differ significantly.
Having worked with the VHA for many years now, Benefit Recovery knows that these distinct conditions mean that cookie cutter solutions are not very effective. That’s why Benefit Recovery never works with any two VHA clients in exactly the same way. We have the flexibility to develop programs based on your specific needs, and a typical Benefit Recovery program may include multiple methodologies to meet your unique requirements, such as:
- Insurance identification
- Insurance verification
- Accounts receivable follow-up
- Denial management
- Cancel review
- Billing services
- High-volume/low-balance resolution
- Buffer activity support
- Other services as required
Start-up and implementation is very streamlined. We provide seamless integration with minimum disruption to your operation. With services such as billing, start-up can be as simple as granting access to specific VistA or QuadraMed menu options. You can then select the work you want done in any way – by type of claims, by volume, or on an as-needed basis.
For services such as AR Follow-Up and Denial Management, Benefit Recovery provides our VHA extract routine, which can be in place and operating within 24 hours. The placement parameters are controlled by you. You decide which claim categories we will work, and our IT group will modify the extract routine to transfer the appropriate information from VistA and QuadraMed.
As part of the start-up and implementation process we also schedule conference calls to discuss the details of our initial findings and any special requirements. This helps ensure our success as an extension of your business office operation.
Once your project moves into execution, we use electronic information exchange to reduce your costs by ensuring interactions are as efficient as possible. Our services include:
- Establishing VPN/local access to VISTA
- Running VA created and approved software for file creation
- Utilizing electronic file transfer
- Uploading all account activity information directly into TPJI
After startup, Benefit Recovery’s experienced staff uses these tools to maintain complete compliance with all Central Office directives regarding claims management, follow-up and documentation of recovery efforts. This interface gives you a much clearer picture of your overall A/R and claims management situation.